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The Kawa Model’S Value For Level Ii Occupational Therapy Fieldwork Students, Terri Blakely, Marie-Christine Potvin, Michael Iwama

Journal of Occupational Therapy Education

Fieldwork (FW) plays a crucial role in occupational therapy (OT) education by fostering students to become competent entry-level practitioners. Reflective journaling promotes increased competence in OT FW students. The Kawa Model can be used as a journaling framework that uses metaphorical illustrations to self-reflect. It has been described as useful in multiple contexts. No study has yet investigated the use of the Kawa Model as a self-reflection tool with OT FW students. Video self-reflections of their Kawa Model drawings and audio recorded semi-structured interviews were used to explore Level II FW students’ perceptions of the usefulness of the Kawa Model. …

A Nationwide Descriptive Study: Understanding Roles, Expectations, And Supports Of Academic Fieldwork Coordinators In Occupational Therapy Programs, Elizabeth D. Deiuliis, Kimberley Persons, Patricia Laverdure, Elizabeth D. Lequieu

Journal of Occupational Therapy Education

Fieldwork education is considered a central component to the formative development of occupational therapy professionals and the responsibility for the quality of fieldwork educational experiences falls to the Academic Fieldwork Coordinator (AFWC). The roles and responsibilities of the AFWC vary considerably between institutions and are not clearly understood. Using a convergent mixed methods research design, the study aimed to describe the roles and responsibilities of the AFWC in occupational therapy programs in the United States and to identify the structural supports and barriers that influence success in meeting the unique expectations and challenges in fieldwork education. A 64-item online survey …

The Perceptions Of Four Novice Occupational Therapists' Preparedness And Ability To Perform Occupation-Based Practice In Pediatric Practice, Laurie Knis-Matthews, Meagan Koch, Alivia Nufrio, Melissa Neustein Gorman, Feby Zaki, Katheryne H. Wall

Journal of Occupational Therapy Education

Although occupation-based practice (OBP) is considered best practice within the occupational therapy profession, practitioners continue to have a difficult time actively implementing OBP into treatment. The Accreditation Council for Occupational Therapy Education (ACOTE) standards necessitate the implementation of OBP. Within the literature, there are gaps in the research investigating novice therapists’ perceptions of incorporating OBP in practice, especially in the United States. Since children and youth is a rapidly growing area of practice, this study focused on investigating how novice therapists are implementing OBP in pediatric settings. This qualitative study therefore investigated the perceptions of four novice pediatric occupational therapists’ …

Building Stress Resilience And Wellbeing: Introducing Mindfulness Training To Reduce Stress In Entry-Level Occupational Therapy Students, Jen Willoughby Vogtmann, Ingrid Provident

Journal of Occupational Therapy Education

Given the high levels of stress in college students and its impact on academic achievement, a purposefully designed curriculum-based mindfulness stress reduction program was implemented for entry-level occupational therapy students to support student mental health. The small-scale, seven-week study, used a combination of mindfulness-based stress reduction strategies, including a meditative technique known as inquiry-based stress reduction (IBSR), and coping strategies using the Occupational Performance Coaching Model to help students cope with their stress levels. Sixteen student participants explored a variety of stress reduction strategies to best suit their individualized needs. Strategies included phone applications, podcasts, guided meditation, yoga, mindfulness of …

Needs Assessment, Program Development, And Pilot Testing: Training For Occupational Therapy Students Working With Survivors Of Gun Violence, Lea Fang, Aisha Mohammed, Vicki Kaskutas

Journal of Occupational Therapy Education

After the first year of operation, members of a student-staffed occupational therapy (OT) clinic found that 36% of their patients’ injuries were violence-related, mostly due to gun violence. The purposes of this project were to identify unmet needs of survivors of violence seen in a clinic setting, identify treating professionals’ preparedness to meet these needs, and develop and pilot test a program within the scope of OT to address these needs. A literature review and key informant interviews, surveys, and focus groups identified potential solutions to address gaps between patients’ needs and professionals’ preparedness to meet those needs. The need …

Side-To-Differences Of Medial Elbow Anatomy Adaptations In Youth Throwing Athletes, Rudolph Matthew Morrow

Theses, Dissertations and Capstones

Background: Injuries to the medial elbow are common in overhead sports, with the most common occurring at the medial/ulnar collateral ligament (UCL). Injury to the UCL is associated with elbow joint laxity which tends to develop over time in athletes who place their elbows under chronic valgus forces like those present during throwing. ^{27, 37} This instability is well documented in professional, collegiate, and high school athletes.

Purpose: The purpose of this study was to investigate the medial elbow joint width and common flexor tendon thickness in the arms of youth baseball players. The hypotheses were (1) the …

More Than A Myth: The Benefits Of Incorporating Holistic Healing Methods From Native American And Mexican Cultures To Approach Opioid Use Disorder (Oud) Treatment, Juliana Favela

CMC Senior Theses

Opioid Use Disorder (OUD) is a substance use disorder that characterizes a dependence on and an addiction to opioids. Opioids attack the prefrontal cortex, the dopaminergic reward system, and the hypothalamic-pituitary-adrenal (HPA) axis which is responsible for the body’s stress response. Opioids constantly shift one’s “set point” to the point where normal actions that cause joy and excitement no longer cause those feelings, resulting in craving and dependence. The opioid epidemic is currently ravaging the United States and has disproportionately affected Native American populations specifically in the rural areas (Tipps, et.al, 2018). The current methods for addressing OUD include medicine …

Cognitive-Motor Interactions In Gait And Postural Control And Cortical Network Neurocorrelates, Nathan Morelli

Theses and Dissertations--Rehabilitation Sciences

The ability to mitigate performance decrements during the concurrent completion of cognitive and motor tasks (i.e., dual task (DT)) deteriorates in patients with mild Traumatic Brain Injury (mTBI). It is theorized that the long-term sequelae of mTBI are due to the return to full activity prior to neurophysiologic healing. To mitigate the negative outcomes associated with mTBIs, translational clinical research of neurophysiologic recovery is of paramount importance for both athletic and non-athletic populations. Despite the well-known health consequences, clinical decisions regarding neurophysiologic recovery and return to activity remain problematic for clinicians. Return to activity decisions are currently based on normalization …

Evaluation Of The Effectiveness Of A Pain Neuroscience Education Curriculum For Patients Who Experience Chronic Musculoskeletal Pain With Concurrent Opioid Dependence, Nicole D. Windsor

Theses and Dissertations--Rehabilitation Sciences

Background: Chronic musculoskeletal pain (CMP) is estimated to affect over 100 million adults annually and is targeted as an instigator of opioid dependence (OpD). Opioid medications are often the first response for patients suffering from CMP, but over 10 million people annually admit to misusing opioids. With the opioid epidemic, the healthcare system now has a population of patients who experience CMP with concurrent OpD. This persistent problem creates a perfect storm of fear of movement, low self-efficacy, and physical dysfunction. A critical component to chronic pain management is understanding how patients view their pain experience. Education may be one …

Beyond The Treatment Protocol: Active Ingredients For Precision Voice Rehabilitation, Maria H. Bane

Theses and Dissertations--Rehabilitation Sciences

Despite the growing body of research demonstrating voice therapy efficacy, only 12 of 100 people referred to a speech-language pathologist (SLP) for a voice evaluation will successfully complete therapy. One possible reason for this discrepancy is that clinical laboratory and clinical outcomes studies have focused on if voice therapy works while failing to explain how voice therapy works. While the if question is important, the yes or no response this question generates is of limited utility when those referred for voice therapy fail to complete. Consequently, the how question, which concentrates on the mechanisms and processes underlying effective voice therapy, …

The Influence Of Physical Health, Emotional Health, And Socioeconomic Factors On The Musculoskeletal Pain Experience In Patients Attending A Pro Bono Physical Therapy Clinic, Garrett Naze

Theses and Dissertations--Rehabilitation Sciences

Non-communicable, chronic diseases are highly prevalent in the United States, reducing the quality of life for those affected and contributing to the majority of the nation’s healthcare expenditure. These conditions include, among others, cardiovascular disease, diabetes, and musculoskeletal disease. Musculoskeletal disease is particularly of interest for the field of physical therapy as the vast majority of patients seeking care in the outpatient setting present with musculoskeletal pain complaints, resulting in limitations in function, participation, and quality of life for the patient.

The factors influencing health outcomes are diverse and include a person’s physical environment, social and economic factors, access to …

Development Of A Field Expedient Screening Tool For The Coach To Identify Musculoskeletal Risk Factors In Baseball Players, Kyle Andrew Matsel

Theses and Dissertations--Rehabilitation Sciences

Identification of musculoskeletal (MSK) injury risk factors in baseball players can be challenging particularly for youth and high school coaches. Many baseball coaches lack a sports medicine and/or strength and conditioning staff to assist with injury prevention initiatives. Given the extensive responsibilities in managing the team and preparing the players for athletic competition, little time remains to focus on injury prevention and arm care programs. Furthermore, assessment, diagnosis, and management of MSK impairments is outside the scope of practice and expertise of baseball coaches. However, educating and empowering the coach to efficiently screen their players for potentially injury producing MSK …

Changing The Perspective In Management Of A Progressive Neurological Disorder: Developing Interventions To Target Multifactorial Components Of Parkinson’S Disease With Emphasis On Improving Clinical Meaningful Outcomes, Jordana Christine Lockwich

Theses and Dissertations--Rehabilitation Sciences

Neurological disorders are currently the leading source of disability in the United States with Parkinson’s disease (PD) having the fastest growing incidence rate (Abate et al., 2017). PD is the second most common degenerative disease in older adults above 60 years old (Tysnes & Storstein, 2017) and epidemiology reports predict that the number of PD cases has doubled to 6 million since 1990 (Dorsey, Sherer, et al., 2018) It is estimated that PD prevalence will continue to rise with a projected 60,000 new cases in the United States by 2030 (Dorsey, Elbaz, et al., 2018) and has the potential to …

A Pilot Study Of Meditation As A Stress Reliever For Dental Hygiene Students During Times Of Heightened Stress, Sarah Henderson

EWU Masters Thesis Collection

Purpose: Dental hygiene students face an exorbitant amount of stress during their educational pursuits. This has only been compounded by the added stress of the COVID-19 pandemic. Students may benefit from the practice of meditation in managing their stress levels during these trying times. This study analyzes the effectiveness of meditation as a stress reliever for dental hygiene students as they navigate their education during the pandemic and the effects it may have on perception of stress, academic achievement, and physical health.

Methods: Students participated in a four-week meditation study, consisting of a 30-minute guided meditation completed once weekly. Prior …

Evaluating An Interprofessional Ergonomic Intervention For Dental Hygiene Students, Lashonna M. Knight

EWU Masters Thesis Collection

Purpose: Ergonomics plays an important role in identifying and reducing biomechanical stress and preventing musculoskeletal (MSK) injuries by creating a better fit between physical requirements and work environments. This study examined the benefits of implementing an interprofessional education (IPE) module in a dental hygiene curriculum with a dental hygienist (DH) and occupational therapist (OT) teaching and assessing students’ ergonomics.

Methods: Students participated in an IPE intervention to incorporate preventive techniques into their daily routine, to model these protective strategies for use as practicing DHs throughout their careers. Prior to the module and at the end of the six-week study, students …

Interprofessional Education Between Dental Hygiene And Occupational Therapy Students In Relation To Stroke Care, Morgan Umlauf

EWU Masters Thesis Collection

Purpose: To determine if interprofessional education (IPE) program with dental hygiene and occupational therapy students help determine roles and responsibilities in patients post-stroke.

Methods: A virtual 90-minute educational module was presented to occupational therapy and dental hygiene students, hosted over zoom with a 30-minute presentation followed by an open discussion over two case studies. A pretest was administered before the event and followed by an immediate posttest. Both tests included the Modified Readiness for Interprofessional Learning (mRIPLS) items that are on a 5-point Likert scale.

Results: The virtual IPE showed that there were positive changes in pretest to posttest scores. …

Comparing The Effectiveness Of Lumbar Rotation To Central Posteroanterior Mobilization In The Treatment Of Individuals With Bilateral Non-Specific Low Back Pain, Nalinee Eitssayeam

Chulalongkorn University Theses and Dissertations (Chula ETD)

To compare the effectiveness of lumbar rotation mobilization and central posteroanterior (central PA) mobilization on the intensity of low back pain (LBP), lumbar range of motion (LROM), functional rating index (FRI), and global perceived effect (GPE) in individuals with bilateral non-specific low back pain (NSLBP). Seventy bilateral NSLBP individuals were recruited (19 men and 51 females). The participants were randomly assigned into two groups using concealed opaque envelopes: central PA or rotation. Both groups got a placebo treatment with detuned shortwave diathermy before receiving intervention according to their group assignment. The outcomes were measured at four points: baseline, after placebo …

Knee Extension Rate Of Torque Development Deficit Is Not Captured By Standard Functional Performance Measures Post- Anterior Cruciate Ligament Reconstruction, Michael Jeanfavre, Matthew Klein, Darragh Lynch, Luke Esquerra, Jonathan Dickey, Jessica Mena

Faculty Publications - College of Physical Therapy

Background

Criteria for full recovery following anterior cruciate ligament reconstruction (ACL-R) include the ability to achieve >90% limb symmetry in maximal quadriceps strength (QI) and functional hop tests. Additionally, knee extension rate of torque development (RTD) is an important performance metric post-ACL-R. This study investigated the rate of recovery of these performance metrics in a recreationally athletic population.

Purpose

To investigate RTD at 30% (RTD30), 50% (RTD50), and 90% (RTD90) of maximal voluntary isometric contraction (MVIC) recovery rate compared to knee extension peak torque and hop test performance post ACL-R.

Study Design

Descriptive, prospective, cross-sectional single-cohort study.

Methods

Subjects between …

What Is Toe Spring In Running Shoes?, Matthew Klein

Faculty Publications - College of Physical Therapy

The last several years have seen a dramatic change in the looks and design of modern running shoes. As maximal shoe design continues to influence the industry, a majority of shoes are seeing large increases in sole height and bending stiffness and increasing usage of plates. In addition to thicker, stiffer, and plated shoes, you may have noticed an increase in the frequency of another rarely discussed but important component of many running shoes, a large upward curve right under the toes. This feature is called toe spring. With it becoming increasingly prevalent, it’s worth knowing why it exists, …

It’S Okay To Be A Heel Striker, Matthew Klein

Faculty Publications - College of Physical Therapy

One of the most frequent questions I’m asked by runners is, “How should my foot land on the ground?” In the wake of the previous decade’s barefoot/minimal shoe movement, people continue to emphasize certain foot strikes over others. (Heel striking is the primary “other” in these discussions.)

Claims are often made about injury prevention, improved speed, improved running efficiency, and certain ways being more “natural.” As with most universal claims in running, there’s a great deal of misinformation here. Let’s look at the facts about foot strikes.

Interweaving Teaching Strategies In Interprofessional Education: A Pilot Study With Graduate Occupational Therapy And Physician Assistant Students, Eric C. Nemec, Lola Halperin, Jaimee Betts Hegge

Physician Associate Studies Faculty Publications

The importance of interprofessional education (IPE) has been emphasized by the World Health Organization and is currently required by both the occupational therapy (OT) and physician assistant (PA) education accreditation agencies in the United States. Moreover, a growing body of evidence suggests that IPE fosters learners’ understanding of the roles different disciplines play in healthcare delivery and prepares future health professionals for patient-centered care. Authors designed and implemented an IPE event aimed to foster the following core Interprofessional Education Collaborative (IPEC) competencies among graduate OT and PA students: Values/Ethics for Interprofessional Practice, Roles and Responsibilities, Interprofessional Communication, and Teams and …

Finding Parity Through Preclusion: Novel Mental Health Parity Solutions At The State Level, Ryan D. Kingshill

Dickinson Law Review (2017-Present)

Recently, the federal government has taken numerous steps to promote the equal treatment (also known as parity) of mental and physical health issues. The two most impactful actions are the Mental Health Parity and Addiction Act of 2008 and the Affordable Care Act. These acts focus on the traditional avenue for parity change—insurance regulation. While these acts have improved parity, major gaps in coverage and treatment between mental health/substance use disorder treatment and medical/surgical treatment persist. ERISA Preemption, evasive insurer behavior, lack of enforcement, and lack of consumer education continue to plague patients and healthcare professionals. On its own, federal …

Recovering From The Loss Of A Loved One: A Group Protocol For Remaining Active In Valued Occupations While Coping With The Loss Of A Loved One, Hailey Axtell, Ty Berg

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project is to develop a manualized intervention program utilizing the CMOP-E to better understand grief and coping while promoting occupational engagement for older adults who have recently lost a partner. A group protocol was created to address spirituality, the survivor, participation in desired occupations, and the environment to help with the process of grieving and promote occupational performance.

Occupational Therapy And Primary Care: The Tools For Referral, Alexandra Grosser, Kelsey Tadman

Occupational Therapy Capstones

Individuals with chronic conditions receive the most primary care services and account for the highest annual healthcare spending with the poorest outcomes (Leland, Fogelberg, Halle, & Mroz, 2017). Primary care providers (PCP) often address acute symptom management due to inadequate time to explore underlying problems related to diagnoses due to time limitations and a shortage of PCPs. (Dahl-Popolizio, Manson, Muir & Rogers, 2016). It has been recommended that other disciplines are incorporated into primary care to increase holistic, client-centered care and to improve health outcomes. Occupational therapy has been identified as one discipline that is well suited to contribute to …

Reproducibility And Discriminant Validity Of The Posterior Shoulder Endurance Test In Healthy And Painful Populations, Neil A. Evans, Suzanne Konz, Arthur J. Nitz, Timothy L. Uhl

Physical Therapy Faculty Publications

OBJECTIVE: This investigation measured the reproducibility and discriminant validity of the Posterior Shoulder Endurance Test (PSET) on painful and non-painful populations.

DESIGN: Reliability and validity study.

SETTING: Laboratory setting.

PARTICIPANTS: Thirty subjects (male = 11; female = 19).

MAIN OUTCOME MEASURES: Time to failure (TTF) was the primary outcome measure to determine reliability of the PSET. Discriminant validity identified with receiver operator characteristic (ROC) curves utilized TTF separately in men and women since they used different loads.

RESULTS: There were 25/30 subjects (painful = 12; non-painful = 13) tested a second time. ICC, SEM, and MDC90 ranged respectively from 0.77, …

Proactive Management Of Acute Oedema Following Hand And Minor Burn Injury, Dale O. Edwick

Theses

Burn injury is a unique trauma. The inflammatory process initiated with burn injury adversely influences all of the Starling equation variables, resulting in increased transvascular fluid filtration, so that oedema as a product of burn injury is more readily formed than in other forms of trauma. Localised wound oedema forms due to minor burn injury, with increasing systemic oedema associated with increased size of burn. It is now recognised that a marked inflammatory and immune response is created with non-severe burn injury, indicating a systemic component with all burns. The effect of oedema formation on the course of the burn …

Comparison Of Sport Performance Outcomes In Young Athletes Receiving Hamstring Autograft And Patellar Tendon Autograft For Anterior Cruciate Ligament (Acl) Reconstruction Surgery, Allison Kell

Capstone Showcase

Introduction: ACL rupture is an extremely common injury among athletes of various sports. There are multiple different grafts that can be used in ACL reconstruction surgery. Two forms of graft that are most often considered in the case of ACL reconstruction are the hamstring tendon (HT) autograft and patellar tendon (PT) autograft. Many orthopedic providers have conflicting views regarding which of the two is the ideal graft. There are varying findings comparing the HT and PT, with many parameters to consider when predicting overall outcome. Oftentimes athletes who experience an ACL rupture are young and desire to return to sport …

Interprofessional Collaboration In Healthcare: Case Studies Lab, Amanda L. Rotondo

Open Educational Resources

This document includes 4 case studies that can be utilized for interprofessional collaboration in healthcare disciplines including Physical Therapy Programs, Physical Therapist Assistant Programs, Nursing Programs, Occupational Therapy Programs, and Speech Therapy Programs.

Empathy Levels Correlate With Practical Examination Scores In Doctor Of Physical Therapy Students, Scott Richardson, Danika Aten, Garrett Bennett, Matthew Koster, Hannah Svilar

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to examine if empathy levels correlate with practical examination scores in DPT students. It was hypothesized that students with higher empathy levels would receive better scores on practical examinations. Methods: Participants were a convenience sample of 49 first and second year DPT students from Franklin Pierce University in Goodyear, AZ. After obtaining informed consent, participants completed the Interpersonal Reactivity Index (IRI) to assess personal empathy. These scores were compared with participants’ practical examination scores using a Spearman Rho statistical test with data analysis completed using SPSS software. Results: 49 participants (26 …

A Group-Protocol: Returning To Life Post Breast Cancer Treatment, Janice Finley, Ashley Timm

Occupational Therapy Capstones

The purpose of this project was to design a group protocol to assist breast cancer survivors living in the community to address unmet physical, cognitive, and psychosocial needs. There are more than 3.5 million breast cancer survivors within the United States today (American Cancer Society, n.d.). A cancer survivor's performance in meaningful occupations and roles need to be addressed as they learn to live with the long-term physical and psychosocial effects of treatments such as self-confidence and pain management (Burg et al., 2015; Kim, Kim, & Han, 2020). There is a lack of occupational therapy services for individuals diagnosed with …